How erythema annulare centrifugum is treated?
General tips to treat erythema annulare centrifugum
- There is no defenitive treatment of erythema annulare centrifugum.
- Identify and treat the underlying condition if present.
- The skin lesions will usually improve, if the underlying condition has been successfully treated.
- Dermatophytosis is the most common reported associated skin infection, so careful examination of the skin is important. The feet, groin, and nails have to be examined.
- If no underlying condition is identified, treatment is mainly asymptomatic.
- In most cases no causative trigger can be detected, and the treatment is empiric and asymptomatic.
Treatment options of erythema annulare centrifugum
Topical treatment
- Topical cortsteroids
- Topical corticosteroids applied to the advancing border of the lesions
- Topical calcipotriol
- once daily.
- Topical tacrolimus
- Topical tacrolimus 0.1% ointment twice daily.
- Topical antipruritics
- lotions containing menthol, camphor, or pramoxine.
Systemic treatment
- Systemic steroids
- Recurrence is common.
- Sedating antihistamines
- Antibiotics
- Azithromycin : 250 mg once daily until clinical improvement or a maximum of three weeks.
- Erythromycin stearate : (1000 mg per day) for 2 weeks.
- Metronidazole : (400 mg per day) for six weeks.
- Phototherpay
- Natural sunlight exposure.
- NB-UVB
- start at 0.25 J/cm2 and increased in 20% increments.
- Other options
- Etanercept 25 mg twice weekly injections.
- Apremilast : 30 mg twice daily
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